Keystone Medical Services Of Mississippi, Pa

LBN: Keystone Medical Services Of Ms, Inc
Keystone Medical Services Of Mississippi, Pa is an health care organization with primary practice located at 233 Magnolia St , Hazlehurst MS 39083-2228. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Keystone Medical Services Of Ms, Inc can be contacted via phone (601) 894-4541, or through Adams, Glenn via phone (800) 669-2640.

Contact Information

Primary practice address
233 Magnolia St Hazlehurst MS 39083-2228
Fax:
Website:
Authorized official contact:
Name: Adams, Glenn

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1174691059
LBN Legal business name Keystone Medical Services Of Ms, Inc
DBA Doing business as Keystone Medical Services Of Mississippi, Pa
Authorized official Adams, Glenn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 21st, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174691059 NPPES
Louisiana Other 1451096 MEDICAID LA - NATCHEZ
Louisiana Other C04505 MEDICAID LA - NATCHEZ
Louisiana Other 09100893 MEDICAID LA - NATCHEZ
Louisiana Other 05786560 MEDICAID LA - NATCHEZ

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